not all night at the care people are having access to, but when they returned from that setting, what are they going home to and getting access to? it is critically important for us to look at the environments that we are living in. as far as high risk ethnic groups, african ancestry is definitely a group that is at high risk for type 2 diabetes, as are hispanics, american indians, alaskan natives, some asian populations as well. it is important that we not disregard these other high risk groups. they are also at high risk. but it should be reminding all of us we have to take a look at the communities we live in, the policies that guide decisions around access to health care, and the ability, once people have access, to be sure that people make use of those tools.